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U.S. Surgeon General Jerome Adams threw his support behind syringe exchange services as an important tool to address the Ohio Valley’s high risk of needle-borne disease associated with the opioid epidemic.

Kentucky ranks in the top five highest number of drug overdoses in the country. It also has one of the highest of Hepatitis C, and while HIV/AIDS cases are declining the U.S., Kentucky holds steady with new cases. Much of this can be traced back to people who use IV drugs, using needles or syringes to inject opioids. But there’s some progress being made. Kentucky will soon have the highest number of syringe exchange sites in the country, bypassing California and New Mexico.